Provider Demographics
NPI:1952452070
Name:ROSINSKI, STANLEY J (DDS)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:J
Last Name:ROSINSKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:NEW YORK MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:13417-0070
Mailing Address - Country:US
Mailing Address - Phone:315-736-9544
Mailing Address - Fax:315-736-4729
Practice Address - Street 1:170 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW YORK MILLS
Practice Address - State:NY
Practice Address - Zip Code:13417-1125
Practice Address - Country:US
Practice Address - Phone:315-736-9544
Practice Address - Fax:315-736-4729
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0472901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice